Unruptured aneurysm of the right coronary cusp.

Nyui, Seietsu; Inoue, Satomi; Sato, Tei; Nakase, Atsunobu

doi:10.1253/jcj.55.695

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…We found 17 surgical cases of aortic valve aneurysms [2,[4][5][6][7][8][9][10][11][12][13][14][15][16], these are summarized in Table 1, with the addition of our case.…”

Section: Discussionmentioning

confidence: 99%

“…Aortic valve replacement (AVR) was the standard surgical procedure to treat aortic valve aneurysm with infective endocarditis. In a case report of an unruptured aneurysm of the right coronary cusp, Nyui et al [6] reported aortic valve aneurysm resection and patch closure, because there was no evidence of endocarditis. In three of 18 cases, reoperations (reAVR [4], translocation [5], and Bentall operation [12]) were performed, and two patients unfortunately died [5,12] ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Aortic valve aneurysm associated with infective endocarditis: case report and review of literature

Minamimura

Ishikawa

Murakami

et al. 2016

Gen Thorac Cardiovasc Surg

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Although there are several mitral valve aneurysm reports, studies on aortic valve aneurysm are extremely rare. This paper describes an uncommon case of a large saccular aortic valve aneurysm associated with infective endocarditis. A 37-year-old man was hospitalized in our hospital with fever and dyspnea. Echocardiography found severe aortic regurgitation and aortic valve aneurysm of the non-coronary cusp going in and out of the left ventricular chamber. Blood cultures grew Streptococcus viridance. Therefore, the patient underwent aortic valve replacement. During the operation, we observed a 30 × 20 mm ruptured aneurysm that arose from the non-coronary cusp. The aortic valve containing the aneurysm was resected and replaced with a mechanical heart valve. Histopathological examination of the aortic valve aneurysm showed active inflammatory changes. Infective endocarditis was considered to be the cause of this aortic valve aneurysm.

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“…We found 17 surgical cases of aortic valve aneurysms [2,[4][5][6][7][8][9][10][11][12][13][14][15][16], these are summarized in Table 1, with the addition of our case.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Aortic valve aneurysm associated with infective endocarditis: case report and review of literature

Minamimura

Ishikawa

Murakami

et al. 2016

Gen Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Hemodynamic deteriorations due to AR and subaortic obstruction may have facilitated the aneurysm formation. Table 1 summarizes clinical backgrounds and etiologies of tricuspid aortic valve aneurysm in 22 previously reported cases [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18], including the present case. Most of the patients were male (82%) and had suspected or confirmed infective endocarditis (86%) responsible for the aortic valve aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Aortic valve aneurysm responsible for acute congestive heart failure and histological findings: A case report

Sugawara

Matsumoto

Hotta

et al. 2014

Journal of Cardiology Cases

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Aneurysmal pouch on left coronary cusp accompanied by bacterial endocarditis

Nakayama

Isobe

Yutani

1998

Jpn J Thorac Caridovasc Surg

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A 58-year-old male was admitted to our hospital with a preliminary diagnosis of bacterial endocarditis. After admission, echocardiography indicated the presence of vegetation-like tissues on both the left coronary cusp and the anterior mitral leaflet, although retrograde aortography two months earlier hadn't indicated an abnormal finding on the aortic cusp. The vegetation-like tissues had gradually enlarged despite the administration of antibiotics at another hospital, and aortic and mitral regurgitation had become severe. We decided to perform replacements of the aortic and mitral valves on the day of admission. During the operation, the aortic valve was found not to have vegetation, but an aneurysmal pouch on the left coronary cusp. It was supposed that either bacterial endocarditis or catheter injury had made a part of the aortic cusp weak and intolerant of diastolic pressure gradient, and as a result, the weakened part of the cusp progressively dilated into the left ventricle forming an aneurysmal pouch. To our knowledge, there have been only two previous reports of an aneurysmal pouch on the aortic cusp documented in the literature.

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Unruptured aneurysm of the right coronary cusp.

Cited by 4 publications

References 10 publications

Aortic valve aneurysm associated with infective endocarditis: case report and review of literature

Aortic valve aneurysm associated with infective endocarditis: case report and review of literature

Aortic valve aneurysm responsible for acute congestive heart failure and histological findings: A case report

Aneurysmal pouch on left coronary cusp accompanied by bacterial endocarditis

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